PFI: X792 Secondary Site ID: 0007 Certification Type: WAIVER Director: Jenine M Paner-Bansi, D.O. Phone: (716) 391-5700 Fax: (716) 240-9878 Address: 3176 Abbott Rd - Bldg B Suite 800, Orchard Park, NY 14127 County: Erie Country: United States Single or Primary Contact: Dr. JoAnn Pellegrino Contact Phone: (585) 298-8223 CLIA #: 33D2154809
PFI: X792 Secondary Site ID: 0003 Certification Type: WAIVER Director: Jenine M Paner-Bansi, D.O. Phone: (716) 822-2117 Fax: (716) 822-8165 Address: 3176 Abbott Corners-Bldg A Ste 500, Orchard Park, NY 14127 County: Erie Country: United States Single or Primary Contact: Dr. JoAnn Pellegrino Contact Phone: 7168222117222 CLIA #: 33D2154809
PFI: X792 Secondary Site ID: 0001 Certification Type: WAIVER Director: Jenine M Paner-Bansi, D.O. Phone: (716) 247-5281 Fax: (716) 204-0670 Address: 1408 Sweet Home Rd - Suite 9, Amherst, NY 14228 County: Erie Country: United States Single or Primary Contact: Dr. JoAnn Pellegrino Contact Phone: (716) 247-5281 CLIA #: 33D2154809
PFI: X800 Secondary Site ID: 0002 Certification Type: WAIVER Director: Madhu H Padi, M.D. Phone: (518) 584-3317 Fax: Address: 390 Church St, Saratoga Springs, NY 12866 County: Saratoga Country: United States Single or Primary Contact: Meghan Kelley-Doty Contact Phone: (518) 487-8505 CLIA #: 33D2157515
PFI: X800 Secondary Site ID: 0003 Certification Type: WAIVER Director: Madhu H Padi, M.D. Phone: (518) 792-1000 Fax: Address: 198 Bluebird Rd, South Glens Falls, NY 12803 County: Saratoga Country: United States Single or Primary Contact: Meghan Kelley-Doty Contact Phone: (518) 487-8505 CLIA #: 33D2157515
PFI: X801 Secondary Site ID: 0001 Certification Type: WAIVER Director: Rebecca Butterfield, M.D. Phone: (518) 453-6707 Fax: (518) 453-2519 Address: 30 N Main Street, Albany, NY 12203 County: Albany Country: United States Single or Primary Contact: Catherine Jordan Contact Phone: (518) 453-6707 CLIA #: 33D2155320
Child and Family Guidance Center Addiction Services Step One Clinic
PFI: X802 Secondary Site ID: 0000 Certification Type: WAIVER Director: Todd A Rochman, M.D. Phone: (845) 647-5400 Fax: (845) 647-5419 Address: 83 N Main Street, Ellenville, NY 12428 County: Ulster Country: United States Single or Primary Contact: Dawn Arraiz Contact Phone: (845) 701-9084 CLIA #: 33D2156394